Kelsie woke up last March with a serious headache and suffered an arteriovenous malformation rupture (AVM). Emerging from a coma a month later, she began inpatient rehabilitation for her brain injury. In rehab, she made significant improvements but Kelsie’s mother began to worry about how she would continue making progress when her private insurance would allow only 60 therapy visits for rehabilitation in a year. With the help of a case manager, Kelsie was able to obtain a one-year Medicaid waiver due to the severity of her new disabilities. Upon release from inpatient care, Kelsie began receiving physical, occupational and speech therapy at Children’s Hospital of Richmond. Kelsie’s mother and doctors are amazed at her progress; many children don’t survive this type of injury to the brain. Kelsie is still working on her pronunciation, processing, short-term memory and improving her limited motor skills. She recently started using her passion for music and a musical keyboard in therapy sessions to help her reach her full potential.